<%@ page language="java" contentType="text/html; charset=utf-8" pageEncoding="utf-8"%>
<!DOCTYPE html>
<head>
    <%@include file="/include/head.jsp"%>
    <title>银行卡更改</title>
</head>
<body>
<header class="mui-bar mui-bar-nav qy-bg-white qy-border-bottom">
    <a class="mui-icon mui-icon-back qy-text-black" href="/customer/BankCard.do"></a>
    <h1 class="mui-title qy-text-black qy-font-size-20px">添加银行卡</h1>
</header>
<div class="mui-content">
    <div class="qy-margin-top-4px qy-bg-white qy-padding-left-12px">
        <div class="mui-row qy-padding-right-12px qy-border-bottom qy-padding-top-10px">
            <div class="mui-col-xs-12 qy-font-size-14px qy-text-gray">姓名</div>
            <div class="mui-col-xs-12">
                <input type="text" class="qy-no-border qy-no-padding-vertical qy-no-margin" />
            </div>
        </div>
        <div class="mui-row qy-padding-right-12px qy-border-bottom qy-padding-top-10px">
            <div class="mui-col-xs-12 qy-font-size-14px qy-text-gray">证件号码</div>
            <div class="mui-col-xs-12">
                <input type="text" class="qy-no-border qy-no-padding-vertical qy-no-margin" />
            </div>
        </div>
        <div class="mui-row qy-padding-right-12px qy-border-bottom qy-padding-top-10px">
            <div class="mui-col-xs-12 qy-font-size-14px qy-text-gray">银行卡号</div>
            <div class="mui-col-xs-12">
                <input type="text" class="qy-no-border qy-no-padding-vertical qy-no-margin" />
            </div>
        </div>
        <div class="mui-row qy-padding-right-12px qy-border-bottom qy-padding-top-10px">
            <div class="mui-col-xs-12 qy-font-size-14px qy-text-gray">银行预留手机号</div>
            <div class="mui-col-xs-12 qy-flex qy-flex-text-between">
                <input type="text" class="qy-no-border qy-no-padding-vertical qy-no-margin" />
                <input type="button" value="发送验证码" class="qy-no-border qy-bg-warning qy-text-white qy-border-radius qy-font-size-14px qy-padding-horizontal-4px"/>
            </div>
        </div>
        <div class="mui-row qy-padding-right-12px qy-border-bottom qy-padding-top-10px">
            <div class="mui-col-xs-12 qy-font-size-14px qy-text-gray">验证码</div>
            <div class="mui-col-xs-12">
                <input type="text" class="qy-no-border qy-no-padding-vertical qy-no-margin" />
            </div>
        </div>
    </div>
    <div class="mui-row qy-margin-top-30px">
        <div class="mui-col-xs-12 qy-padding-vertical-16px qy-padding-horizontal-30px">
            <input type="button" value="确认绑定" class="qy-no-border mui-btn-block qy-padding-horizontal-12px qy-bg-grayc qy-text-white qy-font-size-18px" />
        </div>
    </div>
</div>
</body>
</html>
